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CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2021; 18(02): 138-141
DOI: 10.1055/s-0040-1716433
Case Report

Arrowhead Injury of Central Nervous System: Three Rare Cases from Rural India

Viraat Harsh   *
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Hemant Alda   *
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Shashwat Singh
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Jayendra Kumar
2   Department of Neurosurgery, Anugrah Narayan Magadh Medical College, Gaya, Bihar, India
,
Chandra B. Sahay
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Anil Kumar
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
› Author Affiliations Funding None.
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Abstract

A penetrating central nervous system (CNS) injury on account of an arrowhead is a rarity in the modern era. When managing such cases surgically, special care is taken to prevent injury to the neurovascular structures lying in the vicinity of the wound. Fired arrows are categorized as low-velocity missiles, but the size, shape and aerodynamic stability of the missile are also important factors in establishing the complexity of the wound. We present three such cases of penetrating injury of the CNS by fired arrows, two injuring the head and the third injuring the spinal cord. The arrowheads were successfully retrieved without any complications. Salient features to be taken care of while managing such patients have also been also discussed.

Keywords

arrow injury - penetrating injury - missile injury

* These authors contributed equally to this work.




Publication History

Article published online:
23 September 2020

© 2020. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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